PRECISE FAMILY HEALTH LLC NPI 1871179440

NPI Information

NPI: 1871179440
Provider Name: PRECISE FAMILY HEALTH LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2269396

Address:
20103 NATURES HIKE WAY
TAMPA, FL
ZIP 33647
Phone: (813) 755-6005
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PRECISE FAMILY HEALTH LLC is a primary care clinic center in Tampa, FL. PRECISE FAMILY HEALTH LLC NPI is 1871179440. The provider is registered as an organization entity type.

The provider's business location address is:

20103 NATURES HIKE WAY
TAMPA, FL
ZIP 33647-581
Phone: (813) 755-6005

The provider's authorized official is Judene Harrison .
The authorized official title is Aprn, Owner and has the following contact phone number (813) 755-6005.

The CLIA number assigned to this NPI record is 10D2269396 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1932600699	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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